Provider Demographics
NPI:1942306840
Name:PARKER, SHERI KIM (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:SHERI
Middle Name:KIM
Last Name:PARKER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MRS
Other - First Name:SHERI
Other - Middle Name:KIM
Other - Last Name:STEVENS-PARKER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:26250 PALM TREE LANE
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92563
Mailing Address - Country:US
Mailing Address - Phone:951-698-9021
Mailing Address - Fax:
Practice Address - Street 1:1400 W MINTHORN ST
Practice Address - Street 2:LAKE ELSINORE GAIN OFFICE
Practice Address - City:LAKE ELSINORE
Practice Address - State:CA
Practice Address - Zip Code:92530-2808
Practice Address - Country:US
Practice Address - Phone:951-245-3201
Practice Address - Fax:951-245-3008
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2010-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS211431041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical